| Internal Medicine Associates Of Eunice | |
|
351 Moosa Blvd Eunice LA 70535-3625 | |
| (337) 550-6963 | |
| (337) 550-8683 |
| Full Name | Internal Medicine Associates Of Eunice |
|---|---|
| Speciality | Internal Medicine |
| Location | 351 Moosa Blvd, Eunice, Louisiana |
| Authorized Official Name and Position | Randall P. Miller (M.D.) |
| Authorized Official Contact | 3375506963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Eunice 351 Moosa Blvd Eunice LA 70535-3625 Ph: (337) 550-6963 | Internal Medicine Associates Of Eunice 351 Moosa Blvd Eunice LA 70535-3625 Ph: (337) 550-6963 |
| NPI Number | 1508812801 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 11/16/2007 |
| Medicare PECOS PAC ID | 5799860821 |
|---|---|
| Medicare Enrollment ID | O20080312000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508812801 | NPI | - | NPPES |
| 1485080 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023783 (Louisiana) | Primary |
| Provider Name | Randall P Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952341497 PECOS PAC ID: 5395729107 Enrollment ID: I20040617000650 |
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